Objective To (1) test associations between parents’ empathic accuracy for their adolescents’ positive and negative emotions and adolescents’ physical and mental health (HbA1c, diabetes self-care, and depressive symptoms) in a predominantly Latinx sample of adolescents with type 1 diabetes and their parents, and (2) explore how familism values were associated with parent empathic accuracy and adolescent physical and mental health in this population. Methods Parents and adolescents engaged in a discussion about a topic of frequent conflict related to the adolescents’ diabetes management. Parents and adolescents subsequently completed a video recall task in which they rated their own and their partner’s emotions once per minute; parents’ empathic accuracy was calculated from an average discrepancy between parent and adolescent ratings of the adolescent’s emotions. Adolescents reported on their depressive symptoms and both parents and adolescents reported on adolescents’ diabetes self-care and their own familism values; HbA1c was obtained from medical records. Results Results from structural equation modeling revealed that parents’ empathic accuracy for adolescents’ negative (but not positive) emotions was uniquely associated with adolescents’ HbA1c, self-care, and depressive symptoms. There was limited evidence that familism was related to parent empathic accuracy or adolescent physical and mental health. Conclusions Promoting parents’ empathic accuracy for adolescents’ negative emotions in the context of type 1 diabetes management may have important implications for adolescents’ mental and physical health.

中文翻译：

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父母的移情准确性：与 1 型糖尿病管理和家庭主义的关联

目的 (1) 在以拉丁裔为主的 1 型糖尿病青少年样本中测试父母对其青少年正面和负面情绪的移情准确性与青少年身心健康（HbA1c、糖尿病自我保健和抑郁症状）之间的关联和他们的父母，以及（2）探索家庭主义价值观如何与该人群的父母移情准确性和青少年身心健康相关联。方法 家长和青少年就与青少年糖尿病管理相关的频繁冲突话题展开讨论。父母和青少年随后完成了一项视频回忆任务，他们每分钟评估一次自己和伴侣的情绪；父母的移情准确性是根据父母和青少年对青少年情绪的评分之间的平均差异来计算的。青少年报告了他们的抑郁症状，父母和青少年都报告了青少年的糖尿病自我保健和他们自己的家庭主义价值观；HbA1c 来自医疗记录。结果 结构方程模型的结果显示，父母对青少年消极（但不是积极）情绪的移情准确性与青少年的 HbA1c、自我保健和抑郁症状具有独特的相关性。有限的证据表明家庭主义与父母移情准确性或青少年身心健康有关。